Pharmaceutical Composition of a Topical Dosage form of Itraconazole for the Treatment of Athlete's Foot

Authors

  • Garg Akshi Chandigarh College of Pharmacy, Chandigarh Group of Colleges, Chandigarh, India Author
  • Madan Jitender Chandigarh College of Pharmacy, Chandigarh Group of Colleges, Chandigarh, India Author

DOI:

https://doi.org/10.61841/50efqd87

Keywords:

Athlete’s foot, fungal infection, scaly rash, itching, stinging, Trychophytonrubrum, itraconazole, ergosterol, lanosterol 14α-demethylase

Abstract

 Athlete’s foot is a cutaneous fungal infection that usually begins between the toes. It usually happens in people whose feet are very sweaty while confined in fitting shoes. Signs and symptoms of the athlete’s foot include a scaly rash which usually causes “itching, stinging and burning”. It is caused by the fungus "Trychophytonrubrum". In severe cases, the skin may blister (A collection of fluid below the top layer of skin i.e. epidermis). Many oral and topical treatments are available to cure Athlete's foot. Oral itraconazole (Mw~705.64 g, Melting Point~166.3°C, Weak base pKa~3.7) is the most commonly used antifungal drug in the treatment of Athlete's foot at the dose of 100 mg once-a-day for 30 days. The anti-fungal drug itraconazole is used to treat fungal infections in adults. Infection of the lungs, mouth or throat, toenails or fingernails includes infections in any part of the body. Some of the brands of itraconazole cannot be used for the treatment of fungal infections of the fingernails or toenails. Mechanistically, itraconazole inhibits the fungal-mediated synthesis of ergosterol, via inhibition of lanosterol 14α-demethylase. However, poor physicochemical attributes, interference of food, side-effects (Nausea, diarrohea, and hepatotoxicity) and lesser bioavailability (55%) alters the therapeutic efficacy of itraconazole. in present investigation, a pharmaceutical dermal cream of itraconazole was formulated by oil in water (O/w) emulsion method to improve skin penetration in the treatment of tineapedis infection. Among several chemical permeation enhancers, dimethyl sulfoxide was used in the pharmaceutical dermal cream of itraconazole to augment the penetration of drug in skin. 

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References

[1] I. Rotta, M. F. Otuki, and C. J. Correr, “Athlete’s Foot,” in Evidence-Based Dermatology: Third Edition,

2014.

[2] V. Kaitlin, Z. Zinn, and R. Powers, “Macerated foot dermatitis related to occlusive footwear,” W. V. Med.

J., 2013.

[3] S. Monecke, C. Luedicke, P. Slickers, and R. Ehricht, “Molecular epidemiology of Staphylococcus aureus

in asymptomatic carriers,” Eur. J. Clin. Microbiol. Infect. Dis., 2009.

[4] S. Morrison, “Chronic laminitis: Foot management,” Veterinary Clinics of North America - Equine

Practice. 2010.

[5] G. F. Chan, S. Sinniah, T. I. N. T. Idris, M. S. A. Puad, and A. Z. A. Rahman, “Multiple rare opportunistic

and pathogenic fungi in persistent foot skin infection,” Pakistan J. Biol. Sci., 2013.

[6] M. N. Somchit, “Anti-fungal activity of Ardisia crispa (Thunb.) A.DC. against several fungi responsible for

athlete’s foot,” African J. Microbiol. Res., 2011.

[7] N. Kumar and S. Goindi, “Statistically designed nonionic surfactant vesicles for dermal delivery of

itraconazole: Characterization and in vivo evaluation using a standardized Tinea pedis infection model,”

Int. J. Pharm., 2014.

[8] N. Sun et al., “In vivo pharmacokinetics and in vitro antifungal activity of iodiconazole, a new triazole,

determined by microdialysis sampling,” Int. J. Antimicrob. Agents, 2013.

[9] J. A. Young, “Stearic Acid,” J. Chem. Educ., 2004.

[10] J. E. Nett and D. R. Andes, “Itraconazole,” in Kucers the Use of Antibiotics: A Clinical Review of

Antibacterial, Antifungal, Antiparasitic, and Antiviral Drugs, Seventh Edition, 2017.

[11] S. E. Bell-Syer, S. M. Khan, and D. J. Torgerson, “Oral treatments for fungal infections of the skin of the

foot,” Cochrane Database Syst. Rev., 2012.

[12] F. S. Buckner, B. M. Joubert, S. M. Boyle, R. T. Eastman, C. L. M. J. Verlinde, and S. P. T. Matsuda,

“Cloning and analysis of Trypanosoma cruzi lanosterol 14α-demethylase,” Mol. Biochem. Parasitol., 2003.

[13] M. Ilkit and M. Durdu, “Tinea pedis: The etiology and global epidemiology of a common fungal infection,”

Critical Reviews in Microbiology. 2015.

[14] J. W. Ely, S. Rosenfeld, and M. S. Stone, “Diagnosis and management of tinea infections,” Am. Fam.

Physician, 2014.

[15] S. Singh, M. Singh, C. B. Tripathi, M. Arya, and S. A. Saraf, “Development and evaluation of ultra-small

nanostructured lipid carriers: novel topical delivery system for athlete’s foot,” Drug Deliv. Transl. Res.,

2016.

Published

30.10.2019

How to Cite

Akshi, G., & Jitender, M. (2019). Pharmaceutical Composition of a Topical Dosage form of Itraconazole for the Treatment of Athlete’s Foot. International Journal of Psychosocial Rehabilitation, 23(4), 1749-1754. https://doi.org/10.61841/50efqd87